MARIA PAZ A. DUABAN, MD., PC. 401(K) PROFIT SHARING PLAN
|
2023
|
113676097
|
2024-09-11
|
MARIA PAZ DUABAN, MD, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189213514
|
Plan sponsor’s
address |
122 BEVERLY RD, STATEN ISLAND, NY, 10305
|
Signature of
Role |
Plan administrator |
Date |
2024-09-11 |
Name of individual signing |
MARIA PAZ ALFECHE DUABAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-11 |
Name of individual signing |
MARIA PAZ ALFECHE DUABAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARIA PAZ A. DUABAN, MD., PC. DEFINED BENEFIT PLAN
|
2023
|
113676097
|
2024-09-11
|
MARIA PAZ DUABAN, MD, P.C.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189213514
|
Plan sponsor’s
address |
122 BEVERLY RD, STATEN ISLAND, NY, 10305
|
Signature of
Role |
Plan administrator |
Date |
2024-09-11 |
Name of individual signing |
MARIA PAZ ALFECHE DUABAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-11 |
Name of individual signing |
MARIA PAZ ALFECHE DUABAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARIA PAZ A. DUABAN, MD., PC. DEFINED BENEFIT PLAN
|
2022
|
113676097
|
2023-10-16
|
MARIA PAZ DUABAN, MD, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189213514
|
Plan sponsor’s
address |
122 BEVERLY RD, STATEN ISLAND, NY, 10305
|
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
MARIA PAZ A DUABAN |
|
Role |
Employer/plan sponsor |
Date |
2023-10-16 |
Name of individual signing |
MARIA PAZ A DUABAN |
|
|
MARIA PAZ A. DUABAN, MD., PC. 401(K) PROFIT SHARING PLAN
|
2022
|
113676097
|
2023-10-16
|
MARIA PAZ DUABAN, MD, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189213514
|
Plan sponsor’s
address |
122 BEVERLY RD, STATEN ISLAND, NY, 10305
|
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
MARIA PAZ A DUABAN |
|
Role |
Employer/plan sponsor |
Date |
2023-10-16 |
Name of individual signing |
MARIA PAZ A DUABAN |
|
|
MARIA PAZ A. DUABAN, MD., PC. DEFINED BENEFIT PLAN
|
2021
|
113676097
|
2022-09-30
|
MARIA PAZ DUABAN, MD, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189213514
|
Plan sponsor’s
address |
122 BEVERLY RD, STATEN ISLAND, NY, 10305
|
Signature of
Role |
Plan administrator |
Date |
2022-09-30 |
Name of individual signing |
MARIA PAZ DUABAN |
|
Role |
Employer/plan sponsor |
Date |
2022-09-30 |
Name of individual signing |
MARIA PAZ DUABAN |
|
|
MARIA PAZ A. DUABAN, MD., PC. 401(K) PROFIT SHARING PLAN
|
2021
|
113676097
|
2022-09-30
|
MARIA PAZ DUABAN, MD, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189213514
|
Plan sponsor’s
address |
122 BEVERLY RD, STATEN ISLAND, NY, 10305
|
Signature of
Role |
Plan administrator |
Date |
2022-09-30 |
Name of individual signing |
MARIA PAZ DUABAN |
|
Role |
Employer/plan sponsor |
Date |
2022-09-30 |
Name of individual signing |
MARIA PAZ DUABAN |
|
|
MARIA PAZ A. DUABAN, MD., PC. 401(K) PROFIT SHARING PLAN
|
2020
|
113676097
|
2021-05-10
|
MARIA PAZ DUABAN, MD, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189213514
|
Plan sponsor’s
address |
122 BEVERLY RD, STATEN ISLAND, NY, 10305
|
Signature of
Role |
Plan administrator |
Date |
2021-05-10 |
Name of individual signing |
MARIA PAZ DUABAN |
|
Role |
Employer/plan sponsor |
Date |
2021-05-10 |
Name of individual signing |
MARIA PAZ DUABAN |
|
|
MARIA PAZ A. DUABAN, MD., PC. DEFINED BENEFIT PLAN
|
2020
|
113676097
|
2021-05-10
|
MARIA PAZ DUABAN, MD, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189213514
|
Plan sponsor’s
address |
122 BEVERLY RD, STATEN ISLAND, NY, 10305
|
Signature of
Role |
Plan administrator |
Date |
2021-05-10 |
Name of individual signing |
MARIA PAZ DUABAN |
|
Role |
Employer/plan sponsor |
Date |
2021-05-10 |
Name of individual signing |
MARIA PAZ DUABAN |
|
|
MARIA PAZ A. DUABAN, MD., PC. DEFINED BENEFIT PLAN
|
2019
|
113676097
|
2020-08-24
|
MARIA PAZ DUABAN, MD, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189213514
|
Plan sponsor’s
address |
122 BEVERLY RD, STATEN ISLAND, NY, 10305
|
Signature of
Role |
Plan administrator |
Date |
2020-08-24 |
Name of individual signing |
MARIA PAZ A. DUABAN, MD., PC |
|
Role |
Employer/plan sponsor |
Date |
2020-08-24 |
Name of individual signing |
MARIA PAZ A. DUABAN, MD., PC |
|
|
MARIA PAZ A. DUABAN, MD., PC. 401(K) PROFIT SHARING PLAN
|
2019
|
113676097
|
2020-08-24
|
MARIA PAZ DUABAN, MD, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189213514
|
Plan sponsor’s
address |
122 BEVERLY RD, STATEN ISLAND, NY, 10305
|
Signature of
Role |
Plan administrator |
Date |
2020-08-24 |
Name of individual signing |
MARIA PAZ A. DUABAN |
|
Role |
Employer/plan sponsor |
Date |
2020-08-24 |
Name of individual signing |
MARIA PAZ A. DUABAN |
|
|